FirstSusan
LastCook-Guzman
Date09/14/2021
EmailEmail hidden; Javascript is required.
Phone(202) 329-9649
Address3045 Davenport Street, NW
Washington, District of Columbia 20008
Map It
Make Check Payable toSusan Cook-Guzman
Amount$1,486.88
Attach Receipt(s)HSA-Reimbursement-September-2021.pdf
Mailing/Delivery Instructions

Please mail a check to my home:
3045 Davenport Street, NW
Washington, DC 20008
Thanks so much!

PurposeCoffee on the Playground and New Parent Breakfast
HSA Budget CategoryHospitality

Operating expenses must be approved by an HSA Co-President. Committee-related expenses (e.g. Auction, Green Scene) must be approved by the committee chair. Resource teacher expenses must be approved by the Principal.
All receipts and/or supporting documents must be uploaded with or attached to this form.

For HSA Treasurer Only
Status of approval:
  • Approved